Provider Demographics
NPI:1336498179
Name:TAMAYO, ROSALYDIA (MD)
Entity Type:Individual
Prefix:
First Name:ROSALYDIA
Middle Name:
Last Name:TAMAYO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1697B 7TH AVE
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94122-3716
Mailing Address - Country:US
Mailing Address - Phone:408-691-8155
Mailing Address - Fax:
Practice Address - Street 1:1697B 7TH AVE
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94122-3716
Practice Address - Country:US
Practice Address - Phone:408-691-8155
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-09-07
Last Update Date:2021-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program